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Urology  (Expert Forum)
 | 
Wat is a vein colored (blue) soft bump on left side of head of penis?
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

Wat is a vein colored (blue) soft bump on left side of head of penis?

by romans, Mar 28, 2003 12:00AM
Hello,

I am 32 and have had for as long as I can remember (since I started being aware of my penis) a blue colored bump on the left side of the head of my penis. Over the years a few Doc's have looked at it and said it was a circumflex or protruding vein. I wish that I had asked more but I did not. I am used to it now but still feel uncomfortable when explaining what is to my girlfriends. I guess I want to know- have you ever heard of this and does this sound correct? I have never had any pain or discomfort with it. It grows in size and darker in color when I have an erection ( as expected I assume). My other question would be is there anything that can be done about it. I have often thought of going to a plastic surgeon, dermatologist or of course a urologist but never have ( I always back out). I am not sure if they would have to worry about bleeding or scarring, etc.
Thank you for listening, I am very interested in hearing what you have to say!!

romans

by Kevin Pho, MD, Mar 28, 2003 12:00AM
Hello - thanks for asking your question.

Without seeing the lesion, I cannot be sure what it is.  

You may be describing superficial thrombophlebitis of the penis (an uncommon disease known as Mondor's disease).  This is an inflammatory reaction to a clot within the vein.  This subsequently causes blockages and dilation of the vein.  It is typically painless, but can be painful.  In studies, patients were noted to have thrombophlebitis after a prolonged sexual act with or without intercourse.  It was described as cord-like thickening of the superficial penile veins.  

Diagnosis is via ultrasound which shows blockage of the vessels.  Treatment is with anti-inflammatories (i.e. aspirin or ibuprofen) and most resolve within 4-6 weeks.  If it persists, then surgery may be necessary.  A referral to a urologist would be reasonable.  

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.
Member Comments

by nb664, May 16, 2003 12:00AM
To: Urology - General
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